This document discusses challenges facing the New Zealand health system and opportunities to improve information technology (IT) governance and implement shared services. It notes a highly complex health system with over 3,000 GPs, 82 health organizations, and IT investments accounting for over 9% of GDP. Questions are raised about coordinating change across stakeholders and leveraging scale through a common approach to services. The key barriers to shared services need to be addressed and next steps identified to make progress on this. Strong IT governance is important, clarifying decision rights, accountability, investment priorities, and architecture to encourage better coordination and outcomes from IT.

1. “ Linking Systems to Strategy” or “Which system(s) and which strategy?” 29 September 2008

3. Health & Disability System Slide 3,000 GPs 82 PHOs Labs, NGOs etc 21 4.2 million >9% of GDP 120,000 people

8. How do we do things better together? Slide

10. Shared services

11. Selecting appropriate services